BID ON HVAC (HEAT AND AIR) REPAIIt SERVICE WORK
FOR KERB COUNTY
NOTE: Use this form for the bid. Additional information may be attached. Submission of
a bid notes that the vendor certifies agreement to all the specifications and
conditions.
Total Repair Cost above $100.00 must have the Building Maintenance Supervisor's approval. We
also reserve the right to price parts separately.
Installations are subject to review and are not automatically included in this bid.
REGULAR WORKING HOURS: a~
TECHNICIAN CHARGE PER HOUR 6 y "~'
HELPER CHARGE PER HOUR ~ ~
OVERTIME WORKING HOURS: ~,
TECHNICIAN PER HOUR h L/~ ,yo ©~~~R'f ~r~6 ~~~e
HELPER CHARGE PER HOUR >Q~M ~ ,
WEEKEND WORKING HOURS:
TECHNICIAN PER HOUR
~ y =° :~ .~
HELPER CHARGE PER HOUR ~ 34 ~~~
HOLIDAY WORKING HOURS:
TECHNICIAN CHARGE PER HOUR
HELPER CHARGE PER HOUR 3~ ~~
CHARGE FOR COMPONENTS, REPAIR PARTS, AND SUPPLIES:
ACTUAL COST PLUS
~,~'l . .
~y
WARRANTIES:
MATERIALS/PARTS Pi=,rL 1'r ~ ~-
LABOR Ohm ~~F~-~
COMPANY N
ADDRESS
~$3r,) 2S7 - c
PHONE NUMBER
U.,,r
SIG TURE AND TITLE
~~ . 6 nv
DATE
Bid on HVAC Repair service Work
7/02/03
Renewing Policy Number rvi, r ~ oY~y v ~
RENEWAL CERTIFICATE
TUDOR
INSURANCE COMPANY, INC.
KEENE, NEW HAMPSHIRE
r i>l~ i
CJP
Y ~~.
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RENEWAL DECLARATIONS
Named Insured and Mailing Address: (No., Street, City, State, Zip Code)
DOUGLAS R. MORRIS
SBA: AIRTECH A/C & HEATING
t 16 HILLTOP DRIVE
CERRVILLE, TEXAS 78028-7070
policy Period: (Mo. Day Yr.) 12:01 AM, standard time at your
mailing address stxswn above
=ROM: August 13, 2004 T0: August 13, 2005
Agent #522
Program #115
The named insured is:
®individual ~Ej I'~J~j!j'~
^ Partnership ,nr ----j'~ ".~G
^ Corporation ~ - 1 ~ -- ~~"~
^ Other
Location of Business:
SAME AS MAILING
IN RETURN FOR THE PAYMENT OF THE PREMIUM, THE ABOVE NUMBERED POLICY IS RENEWED FOR THE POLICY PERIOD
STATED ABOVE, SUBJECT TO ALL THE TERMS AND CONDITIONS OF THE EXPIRING POLICY, EXCEPT AS STATED BELOW.
THE FOLLOWING CHANGES ARE APPLICABLE TO THIS RENEWAL:
(If no entry, then only the rates or premium basis changed - as shown below.)
See Schedule of Policy Forms
LIABILITY RENEWAL CHANGES
Classification
SEE FORM WW232
Rate Advance Premium
Payroll Pr/Co All Other Pr/Co All Other
Commercial Liability Advance Premium $
PROPERTY REPLACEMENT COST CHANGES
New Building Coverage Limit Rate
No Coverage
Issue Date:07-26-04
:amtersigned: ~`~
Authorized Representative
Total ~
Policy Fee $
Surplus Lines Tax $
Grand Total $
THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS, IF APPLICABLE, TOGETHER VNTH THE COMMON POLICY CONDITIONS, COVERAGE FORM(S) AND FORMS AND
EPDORSEtuENTS, IF ANY, ISSUED TO FORM A PART THEREOF, CONPLEtE THE ABOVE NU~D POLICY.
Premium for other
Building Premium $
N/A
COMMERCIAL LIABILITY -TOTAL PREMIUM FROM ABOVE ~
Terrorism Risk Insurance Act Premium $
Other $
TU 243 (02103)
~mni# 234
i vvli~ li~t~t.~r'~~'~ilbGC tiL1:6~1r';ti!~!'
COMMERCIAL LIABILITY COVERAGE PART
DECLARATIONS
• PGL718454 01 ~~ 08-13-04
Policy Number. ~Y Effective Date.
12:01 A.M., Standard Time
LIMITS OF INSURANCE	
General Aggregate Limit (Other Than Products -Completed Operations)	$ 600,000
Products -Completed Operations Aggregate Limit	$ 600,000
Personal and Advertising Injury Limit	$ 300,000 Any One Person or Organization
Each Occurrence Limit	$ 300,000
Damage to Premises Rented to You	$ 100,000 Any One Premises
Medical Expense Limit	$ 5,000 Any One Person
	$ N/A
Each Professional Incident Limit (it applicable>	
PREMIUM	
		Premium		Rate	Advanced Premium
						
Classification	Code No.	Basis		Pr/Co All Other	Pr/Co	All Other
	
Heating or combined 95647 (P)	$ ~4,
l
heating and Air	
Conditioning or Equipment	
- Dealers or Distributors	
and installation, servicing	
or Repair-No Liquefied	
Petroleum Gas LPG	
Equipment Sales or Work	
..
:
	^
„~,
Total Advanced Premium $
FORMS AND ENDORSEMENTS	
	
See Schedule of Policy Forms	
Countersigned~~~ ~ ~/
Authorized Representative
THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD.
Agent#522
Program#115 WW232 (04/01)
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